Shingo Omata
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shingoomata.bsky.social
Shingo Omata
@shingoomata.bsky.social
50 followers 20 following 81 posts
Diagnostic Radiologist in 🇯🇵 | #MSKRad | #GeneralRad |
Sharing insights in Radiology | #RadSky | #MedSky | #Rdiag |
Posting Morning Daily Quiz & Evening Explanation
Posts Replies Media Videos
shingoomata.bsky.social


A full-term infant, 5 days old

#Rdiag #RadSky #MedSky #NeuroRad #FOAMed
March 6, 2025 at 1:11 PM
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Pt: 35 y/o Female
CC: Palpable mass in the right inguinal region

History:
Mass present for 1 year.
Incidentally palpated in the upper thigh, gradually increasing in size.
No history of trauma.
No tenderness.

#Rdiag #RadEd #MedEd #FOAMed
March 5, 2025 at 9:33 AM
shingoomata.bsky.social


Pt: 36 y/o Female

CC: 7-month history of extraocular muscle limitation and visual disturbance

#Rdiag #RadEd #MedEd #NeuroRad #FOAMed
March 4, 2025 at 8:25 AM
shingoomata.bsky.social


Pt: 24 y/o male
CC: Progressive Lt. parietal skull defect

Hx: First noticed at age 6, gradually enlarging, no trauma, no significant medical history

Symptoms: Asymptomatic

#Rdiag #RadSky #MedSky #FOAMed #FOAMRad
March 2, 2025 at 9:17 AM
shingoomata.bsky.social


Pt: 60 y/o Male

CC: Pain, weakness in bilateral lower limbs and urinary incontinence.

#Rdiag #RadSky #MedSky #FOAMed #FOAMRad
February 28, 2025 at 11:20 PM
shingoomata.bsky.social


Pt：9 y/o Female
CC：Progressive scoliosis for 6 years

Height: -4 SD, Weight: -3 SD
Upper/lower body ratio: 0.64 (normal: 1.1)
Ophthalmologic Findings：Horizontal gaze palsy

#Rdiag #RadEd #MedEd #NeuroRad #FOAMRad
February 28, 2025 at 8:31 AM
shingoomata.bsky.social


Pt: 42 y/o Male

CC: Hypotonia, joint hyperextensibility, aphonia, micrographia, hyperreflexia, facial dystonia, cognitive decline

Hx:Mid-teens: Hand tremor (onset)
35y: Gait disturbance (R foot drag)

FHx: Mother affected, deceased

#Rdiag #RadSky #MedSky #NeuroRad
February 27, 2025 at 11:18 AM
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Pt: 55 y/o Male

- Diabetes (insulin-dependent), alcohol abuse
- DKA + 5-year cognitive decline (LTC placement)
- Pigmentary retinopathy

#Rdiag #RadSky #MedSky #NeuroRad #FOAMRad
February 26, 2025 at 12:34 PM
shingoomata.bsky.social


Pt: 73 y/o Male

#Rdiag #RadEd #MedEd #NeuroRad #FOAMRad
February 25, 2025 at 9:15 AM
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20 y/o Male w/ seizures since age 3, dx idiopathic generalized epilepsy at 17.

CC: multiple generalized seizures, LOC, & post-ictal confusion.

Other: Learning difficulties, left school early, no FHx.

#Rdiag #RadSky #MedSky #NeuroRad #FOAMed
February 23, 2025 at 11:25 PM
shingoomata.bsky.social


Pt: 18 y/o Female

CC: 4-month history of headache and dizziness and a 3-day-history of lethargy and vomiting.

Neurological exam: papilledema, impaired tandem gait, and right-sided dysmetria

#Rdiag #RadSky #MedSky #NeuroRad #FOAMrad
February 23, 2025 at 8:43 AM
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Pt: 30 y/o Female, previously healthy .

An incidental renal mass was detected, leading to further evaluation.

MRI: Predominantly T2↓ w/ mild diffusion restriction.

#Rdiag #RadSky #MedSky
February 22, 2025 at 12:04 AM
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Pt: 9 y/o Male, previously healthy

CC: Frontal headache x2 wks, worsened in last 2 days
Assoc: N/V, photophobia, b/l eye pain
ROS: No trauma

#Rdiag #RadSky #MedSky
February 21, 2025 at 2:10 PM
shingoomata.bsky.social


Pt: 53 y/o Male

🔹new-onset gait ataxia
🔹muscle weakness of the proximal thighs

#Rdiag #RadSky #MedSky
February 19, 2025 at 10:00 PM
shingoomata.bsky.social


👩‍⚕️ 46 y/o Female

🔹 Recurrent parotid gland swelling & pain (5 years)
🔹 Triggered by food 🍽️
🔹 Elevated eosinophils & IgE 🩸📈

#Rdiag #RadSky #MedSky
February 19, 2025 at 1:56 AM
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Pt：11 y/o Male
CC：Bilateral cheek swelling, recurrent and painless x 8 months, refractory to antibiotics.

#Rdiag #RadSky #MedSky
February 17, 2025 at 10:47 PM
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Pt: 50 y/o Male

#Rdiag #RadSky #MedSky
February 17, 2025 at 8:07 AM
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64 y/o Female, post minor trauma.

#Rdiag #MSKRad #RadSky #MedSky
February 15, 2025 at 10:47 PM
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Pt: 41 y/o Male

HPI：POD 73 of cadaveric renal transplant: New onset bilateral pain in feet and ankles, ascending to knees.

PMH: IgA nephropathy, HTN

#Rdiag #RadEd #MedEd #MSKRad
February 15, 2025 at 12:04 PM
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6-month-old twins, born to a consanguineous couple, presented with hypotonia, hypothermia, seizures, and developmental delay.

#Rdiag #RadSky #MedSky #NeuroRad
February 14, 2025 at 12:54 AM
shingoomata.bsky.social


4 y/o girl w/ Chiari malformation type I underwent foramen magnum decompression and partial C1 laminectomy. A follow-up MRI was performed.

#Rdiag #RadSky #MedSky #NeuroRad
February 12, 2025 at 11:12 AM
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Pt: 59 y/o Male
CC: Acute onset of RLQ abdominal pain

L/D: WBC 12,300/μL with a slight left shift

#Rdiag #RadSky #MedSky
February 10, 2025 at 11:16 PM
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20 yo Male w/ recurrent neuro sx x12y:
Initial episode @ 8 yo → dx'd viral encephalitis

Recent: 5d GTC sz
Sx include: GTC sz, choreoathetosis, dystonia, hypotonia, apraxia, ataxia

All negative: LP, infectious/rheum w/u, mito panel, muscle bx

#Rdiag #RadSky #MedSky
February 9, 2025 at 10:10 PM
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💡 A rare complication of vertebroplasty where bone cement forms emboli in pulmonary arteries.

Lumber spine Xp: Cement embolization into lumbar veins
CT: high-density within the pulmonary arteries

#Rdiag #RadEd
doi.org/10.5144/0256...
February 9, 2025 at 8:51 AM
shingoomata.bsky.social


Pt: 73 y/o Male
CC: Slowly progressive dyspnea

Past Surgical History:
・Lumbar spine fixation
・Vertebroplasty (performed 7 months ago)

#Rdiag #RadSky #MedSky
February 9, 2025 at 5:23 AM